Organization Active NPI

James S. Blasko, M.D. P.C.

  • Family Medicine Physician
  • Waycross, GA
National Provider Identifier
1457894701
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMES S. BLASKO, M.D. P.C.
Practice address
403 Lister St
Waycross, GA 31501-5225
Phone
(912) 283-4422
Fax
(912) 283-4866
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James S Blasko, MD
Title
MD
Phone
(912) 283-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

403 Lister St
Waycross, GA 31501-5225

Mailing address

403 Lister St
Waycross, GA 31501-5225
Phone (912) 283-4422

National Provider Directory

National Provider Directory

Locations

403 Lister St
Waycross, GA 31501
Phone (904) 389-5333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1457894701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LISTER ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015225",
            "telephone_number": "912-283-4422",
            "fax_number": "912-283-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LISTER ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015225",
            "telephone_number": "912-283-4422",
            "fax_number": "912-283-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S. BLASKO, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "BLASKO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "912-283-4422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.